Individual
KENNETH MICHAEL PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. S.
Contact information
Practice address
100 BOWNE ST NE, GRAND RAPIDS, MI 49505-4014
(810) 348-4246
Mailing address
100 BOWNE ST NE, GRAND RAPIDS, MI 49505-4014
(810) 348-4246
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP0000000950458
MI
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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